By Melissa Healy Jun 19, 3: That's going a step further than the American Psychiatric Assn. Sound like someone you know? In addition, the classification codes are the foundation for health insurance billing in the United States. The absence of a diagnostic code makes it difficult for a healthcare professional to treat a patient and then get paid for that treatment.
Is gaming disorder diagnosed the same everywhere? The American Psychiatric Assn. The association publishes a handbook of psychiatric diseases called the Diagnostic and Statistical Manual, also known as the DSM. In , the organization added internet gambling disorder to the DSM, but opted not to include internet gaming disorder — at least, not yet. A screenshot from the wildly popular game Fortnite.
Who is at risk for having a gaming disorder, and how widespread is it? In , it appeared that internet gaming disorder was most common in male adolescents between the ages of 12 and 20, and that the affliction was more prevalent in Asian countries than in North America and Europe. A more recent study underscores that gaming addiction is probably a worldwide phenomenon, albeit an uncommon one. The analysis of close to 19, internet users from the U.
But very few — between 0. Markey of Villanova University and Christopher J. Ferguson of Stetson University wrote in a commentary accompanying that study. How is gaming disorder treated? This was one of the bits of unfinished business that stayed the American Psychiatric Assn.
Cognitive behavioral therapy, which focuses on identifying the problem and devising strategies and paths to resistance, works well, said Dr.
Are certain people more at risk for gaming disorder? Yes, people who have other psychiatric disorders. People love to play games, just like they love watching TV or working out. How is that an addiction? Psychiatrists have been debating this question since they first drew connections between addictions to substances like alcohol or drugs and problems with excessive engagement in pleasurable and often unavoidable behaviors like eating, shopping and sex.
What are the arguments in favor? Multiple studies have found that substance addictions and behavioral addictions share much of the same brain circuitry. Imaging studies have found that the urge to play video games activates the same brain regions that light up when compulsive gamblers or those addicted to illicit drugs ponder the prospect of gambling or drug use.
Some of the neural consequences may be the same too: A study suggests that the effects of excessive online game-playing on working memory may be similar to those observed in patients addicted to drugs or alcohol. Consequently, some researchers assume that problematic gaming might share some of the same neurobiological mechanisms as pathological gambling and substance dependence. What are the arguments against? Dependence on alcohol or drugs — and for that matter, gambling — can be treated with abstention or avoidance.
By contrast, eating is necessary, sex is key to a healthy romantic relationship, and shopping is virtually impossible to avoid. In the 21st century, spending time online is pretty much a fact of life as well. That makes abstention or avoidance all but impossible, Saxon said.
A lot more work would have to be done to look at the treatment. With games like Fortnite, League of Legends and Pokeman Go, digital gaming has taken the world by storm relatively recently. But it could lose its allure — and vast audience — just as quickly. Is this any way to diagnose a true psychiatric disorder? Levounis noted that over the years, many diseases have bubbled up and either died down on their own or been swatted into obscurity by vigilance and treatments.
But they still needed to be identified, characterized and treated, he argued. Despite having been eradicated by vaccines, smallpox was once a very real disease, he said. For all we know, some phenomenon will come on and five years from now, people will be doing other very disruptive things with their lives. Advertisement Be the first to comment Hide Comments.